Death of related living-donor as a surgical complication following donor open nephrectomy

ABSTRACT

Herein we report a case of living-donor s death as a result of surgical complication. This living-donor nephrectomy was complicated by bleeding and many other visceral injuries. Our case raises the possibility of weather the death of this living-donor was a result of lack of experience of our team, who had performed more than one thousand kidney transplant operations upon the last two decades, or was undiagnosed pathologic or histologic disease in the donor s vasculature. The various points of view for both these possibilities are discussed. We concluded that it is very important to perform a comprehensive evaluation to all candidates for kidney donation preoperatively. Not to mention the good experience of surgical team should be available, in addition to the necessity of paying attention to the effect of a state of false sense of self-overconfidence and laxity in the adequate supervision of the surgical world of junior resident in training